Individual provider · Type 1 NPI

Jose Lara, DC

Chiropractor · Phoenix, AZ

NPI number 1104824812 Active

Practice location

2735 W Union Hills Dr, Suite 102
Phoenix, AZ 85027-5033

Call (602) 973-1630 Map

Fax (602) 973-1667

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X5303 (AZ)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1104824812

Jose Lara, DC's National Provider Identifier is 1104824812, issued on Jul 7, 2005. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Phoenix, AZ. The record was last updated on May 20, 2008.